text:
0 Members and 1 Guest are viewing this topic.
I had an encounter with a local disc golfer in Sedalia this afternoon that fell right into this category. We had a tourney here Saturday so I went out today to see if any of the floaters that were left behind were still there. When I got to the pond another guy had just left with some discs he fished out. I chased him down to let him know that I knew some of the people that owned the discs and I had told them I would try to fish them out and get them back to them. This guy, standing there with the discs in his hand, refused. He said he went in there in that disgusting mud and murky water and got them and he felt he had a right to them now, even though they had clearly visible names and phone numbers on them. He offered to sell them to me. Things got testy then I realized he had a point, I've been in that pond and it's pretty nasty mud. I let it go and he took off with at least three discs I know the owners of and I could do nothing about it. His point was that if you had it floating out there and left without finding a way to go out and retrieve it that you were giving up your ownership.
If you give up on, or walk away.. then the person that finds that disc has no obligation to return it in my opinion.. sure, its a nice thing to do but entirely up to the person that has found or fished it out..
I am remembering this quote, and the guy that posted it for future reference!
Jack, I know that you have, and appreciate each of the disc's that you have returned to me and anyone else for that matter. When I walk away and decide that I have lost a disc though, I hold no one to some ethical or moral obligation to seek me out and return it. That goes for anyone....jews, gentiles, samarians, or even the most Godlike people....OHIO-ans


text:
3 people hurt in Holliston crash
Crash under investigation
Three people were taken to the hospital after a crash Saturday morning in Holliston.
Officer John Scanlon told the MetroWest Daily News that officers were dispatched to the intersection of Norfolk and Goulding streets at about 7:25 a.m. after a car pulled out of a side street and was struck by another car.
Scanlon said two people were flown by medical helicopter, one to Boston Medical Center and the other to UMass Memorial Medical Center in Worcester. A third person was taken by ambulance to MetroWest Medical Center in Framingham.
Scanlon said all three had non-life-threatening injuries, but he didn't know more about the extent of their injuries.
Witnesses at the scene told a MetroWest Daily News photographer that the sedan involved in the crash was traveling north when it crossed the double yellow line and sideswiped an SUV, causing the sedan to crash and roll over.
Scanlon said the roads were open, although a state police accident reconstruction team was called to the scene.
As of Saturday morning, no charges or citations had been issued. The incident is still under investigation.

subset: commoncrawl


text:
Biology Professor Named Associate Academic Dean
Dr. Michael Wanous, associate professor of biology and faculty member at Augustana College since 1997, has been appointed Associate Academic Dean. He is currently serving as chair of the Natural Science Division.
Prieb Receives Alumni Achievement Award
While speaking at the Augustana Thought Leader Forum on Friday, April 23, Laurel Prieb '77 received the Augustana Alumni Achievement Award. Prieb is the Vice President of Western Operations for Major League Baseball.
Sioux Falls Junior Elected President of ASA
Joel Thompson, a business administration and government/international affairs major, has been elected president of the Augustana Student Association (ASA) for the 2010-2011 academic year.
Dan Schoen Wins Augustana Covenant Award for Excellence
Dan Schoen, junior history and philosophy major from Maple Grove, MN, is the recipient of the Augustana Covenant Award for Excellence, one of the College's five core values.
KELO-TV: Professor Conducts Study on Children's Vocabulary
Dr. Olivia Lima, assistant professor of Psychology, was recently featured on KELO-TV for her research study that focuses on preschoolers' word learning in a school setting.
Augustana Students Involved in Plain Green Conference
Seniors Jamie Horter and Karin Costin have been involved in the planning for the Plain Green Conference and Marketplace to be held April 28-29 at the Washington Pavilion in downtown Sioux Falls.
Augustana Students Sweep Research Competition
Augustana students Jared Soundy and Marissa Kern won outstanding undergraduate poster citations at the South Dakota Academy of Science meeting April 10 in Spearfish, SD.
Augustana Professor Appointed as Fulbright Scholar
Dr. Joel Johnson, associate professor of Government and International Affairs, will serve as a Fulbright Senior Lecturer/Researcher at the University of Marburg in Hesse, Germany.
New Graduate Degree in Sports Administration and Leadership
Augustana will be offering a Master of Arts in Sports Administration and Leadership, pending approval of the Higher Learning Commission of the North Central Association of Colleges and Schools.
Six Students Awarded Christopherson Scholarships
The six students were selected for the 2010-2011 academic year based on scholarship, campus and community service, and how well they fit the description of the donors as someone "equipped for life."


text:
We're alive — and dangerous
We're alive and kicking. That's all we asked for, one win to keep us going. We've got a heartbeat, and like I said all along, as long as this team has life — as long as we've got innings, pitches, a pulse — we're dangerous.
Let's get the play that cost us three runs out of the way first. It was my fault; put it all on me. I should have gotten there, called off Howie Kendrick and caught that ball. We haven't had a single ball fall like that, in that spot, all season — and it happens in a game we have to win. But you've got to move on, let it go. That's what I told Howie between innings. It was in a tough spot. I was shading Jacoby Ellsbury toward left-center, and Howie had a long way to go. But it's my turf out there, and I should have made the play.
It's kind of strange, really. I didn't make an error all season, and the other night in Anaheim in Game 2, Mark Kotsay hit a ball to me that was acting like a knuckleball, and it went off my glove. It's crazy. But you can't let things like that get you down. Not in this game, when you play every day. You're tested all the time.
I love how our guys responded in this game, playing big when it counted. Our young guys have come alive. They've gotten over their anxieties and trying to do too much, and they're settling in and just playing now. Erick Aybar got that big hit for the winning run. Howie got a couple of knocks and put down that bunt after Mike Napoli's single in the 12th inning. Man, Napoli was incredible. That guy is so strong. He was swinging from the heels in the first game, but tonight he was smart, taking good swings. He's so strong, he can hit it out without a big swing.
Reporters are asking me why I tried to stretch that single in the ninth inning. I hit it down the line, and from what I saw, it was going to take a great play to throw me out. If Jason Bay doesn't put it where he did — if it's a little wide either side of the bag — I'm at second with nobody out, and we're in business. I was hustling, going for it, and a guy threw me out with a good throw. It happens.
That's six straight games we've won at Fenway Park. One more and we're going home with a chance to go to the ALCS. Hey, I'm not getting ahead of myself here. We know all about Boston, how dangerous those guys are. But we're dangerous, too. They know that. You don't get beat six straight times in your own house and not have some respect for that other team.
We really like playing here. The fans are great, the park is great. It's intense, and I think we thrive on that.
I've got a lot of confidence in big John Lackey going against Jon Lester in Game 4. Lackey comes after you and pounds that strike zone. I love that. He keeps his guys in the game. I think we'll have a better idea with Lester the second time around, especially the younger guys who were still new to all of this.
You learn a lot about yourself as you go through these postseason games. I love how our guys have responded. Nobody got down after losing the first two. We stayed cool, stayed supportive of each other. That's how you win in October, by hanging together, playing hard and smart, making good things happen.
We're alive. We're kicking. Now we just want to keep it going and bring this series back home to our fans — and our Rally Monkey. No more talks about losing streaks, no more negativity, please. That monkey is off our backs.
36 Comments
Man that game had me on the edge of my seat the whole time. There were times where i just about lost my voice but like u said things happen and you guys pulled it together for the win!!! IM SOOOO HAPPY!!!! Nappi was amazing and so was everyone else to get those runners accross in the cluch. Well I cant wait for tomarrow. Ill be cheering you guys on with the rally monkey by my side like every game. Later, David Brown
what a game!
overcoming what happened in the 2nd inning was huge and frankie finding a way to get the bases loaded and dodge a bullet….
Napoli and the bullpen carried the team thru this one.
can we just get a good solid *** whompin' in game 4 so we don't have to sweat every pitch?
We had the privelge of meeting Torii in Baltimore this year at the hotel where the Angels were staying. The way he treated my twins left such a outstanding impression on our family because he was sincere and kind to our kids who love this game. He is a CLASS ACT and deserves nothing but the highest level of support from the Angels Fan base! A gentlemen and a wonderful spokesman not only for the Angels but all of Major League Baseball! Light up the Halo tonight and bring it back to Anaheim!! Go Angels!
Thanks for one of the most exciting games that I've ever seen last night. What a victory. I'm so proud of my guys for dusting off their knees after two losses and coming back to win in game 3. My husband and I (& our two boys until it was bed time) watched the game on pins and needles for the entire five hours.
I'm so excited about the win and for today's game. I have all the confidence in Lackey….he's solid. Let's just bring this thing home to finish off those pesky Red Sox.
Thanks for taking the time to blog, it has been great to get this insider look of the game. As you said, the guys have had a chance to see Lester (and recently too) so they know what to expect. I expect great things from y'all tonight!
Go Halos!!!!!!!!! Being in Boston right now, I feel great being an Angels fan!! It's amazing how you guys can come into Fenway and take care of business like that- even with those extra 3 red sox runs that wouldn't have happened under usual circumstances. That really was a full team effort last night, and that's what I love about you guys! We know the playoffs are different, and anything can happen. I fully believe you guys can take this series back to Anaheim where I wish I could cheer you on at the Big A. Now, if only I could manage to get tix to Fenway tonight… 😦 Go Angels!!!! Thanks for blogging Torii!
That game was beyond intense. You guys rock!!! I need to tell you that I love that you are blogging, and giving the fans your inside thoughts on the game.
I need to tell you a funny story about how poular you are with my two kids, not to mention me and my husband. A few weeks ago our family adopted a puppy. As we sat around the family room watching an Angel Game discussing what to name the dog, Mitt? Halo? Angel? Skipper? … the list went on and on and then you came up to bat and hit a run. My kids went wild and it was decided our little puppy had a name Torii. This may sound odd, but really its the highest compliment my 7 and 8 year old could give you.
SO have a great game tonight we will be watching and waiting for you guys to bring it home , so we can be there on Wednesday !!!!
After watching Hunter's performance, I'd say he's the most dangerous part of the Angels chance to advance.
Play smart !! Be patient at the plate and make Lester work .
We're hitting these guys but let's work on knocking more of those base runners in. That disaster that happened in center I don't ever wanna see that again.
Now go out there and WIN !!!
LETS GO ANGELS!!!!!!! That game was amazing last night. You guys ignited a fire that has fuel for days! I appreciate this blog so that fans, like myself, can understand your perspective as a veteran player. It reminds me of the 02 playoffs. We had this same enthusiasm when we beat the Yankees. We took it to Minnesota (Sorry Mr Hunter) and again into the WS. Like you said lets not get ahead of ourselves, but its great to hear that the club is gunning for gold. Keep Roasting those Boston Beans!
Go GUYS GO!!! You can do it… Stay smart and ignore that Boston crowd. Bring it home and win it in front of YOUR fans.
Sunday's game was so intense I was exhausted after it was done…All the fingernails are gone…But it was great I'm so excited to have that streak gone – it's over – and now we move on to tonight and the win and bringing it home…
Guys we're behind you all the way – screaming at the TV – yes we look silly but who cares – you can do this. We know you can.
In game 2, ervin santana gave up that 3 eun homer, but you guys came back, on sunday, you were down 3-1 and came back, and stayed with it into the AM to win it. Nothing that boston does can put you down, you will always come back. I love k-rod, dont get me wrong, but if he could just be a little more accurate, this wouldnt even be a contest. I want to see some regualr season k-rod. There is nothing wrong with this team, just a few minor mistakes that are overcome-able. WAIT THE PTCHERS OUT. Even though a hit is better, you can take the walk. Being on base is being on base no matter how you get there.
100 WINS is not something that goes unrewarded, YOU CAN DO IT!
Torii, you're the best. I can't say how happy we are to have acquired a player of your talent with such class. We saw it the first game you played, when all the players were in the dug out, but you were out signing autographs for the kids until the last minute. Minnesota lost a real treasure when they lost you.
And now young man, I have to say….stop staying up until 3am! Get to sleep; you have a big day tomorrow. Don't make me hurt you where that horse kicked you :)~
Just quit making mistakes and maybe we can win. Focus people because the red sox are thinking they will end it tonight…bet that and if i see howie laughing again about his piss poor play i'm going to slap the dentures out of his big fat head. nut up kid this is not a laughing matter punk and pray lackey will pitch like the ace some people seem to think he is and not the number 4 guy on the royals that he pitches like in big games…2002 was a life time ago. so quit playing like a bunch of chumps and win a damn series! because i have been an angels fan for 49 years i've seen all this before give me something new please like a series win over the red sox and don't be the holy chokers.
Don't get on his case too much for staying up late! I couldn't get to sleep because of all the adrenaline, and I only watched the game!
Great job… one more and I'll be seeing you on Wednesday.
GREAT GAME! i was so nervous, i had a stomach ache! The team looked much more relaxed last night at the plate. Let's bring this series back to Anaheim! Get 'em on, get e'm over, get 'em home!!!
The game was heart stopping, exciting, and amazing. You had us all cheering for you at home in front of the TV. Im sure you heard us from Anaheim! Cant wait to see you at the game on Wednesday! Go Angels!
Thanks Torii for sharing some insight into a couple of key, high profile plays. I would expect a guy like you, professional team player to take responsibility and not make excuses….great to see that. I am also impressed on how Saunders reacted to that play that allowed the sox to score 3 runs. Nothing but professionalism….move on to the next batter. This whole team is a class act from top to bottom. Great momentum builder for the team this win in Game 3 and how it was won….by gutting it out..team effort, overcoming some adversity and now folding it up. Big John is a Big game pitcher and nice to see Figgins setting the table…keep it going and we you in Anaheim!
….what I meant was…NOT folding it up…and WE will see you in Anaheim!
How about that bullpen? 7 1/3 innings and no runs allowed. Weaver was incredible.
Now how about we score some runs for Lackey tonight!!!
You guys gave me an ulcer last night!!!! What can I say, you rocked it last night in Angel fashion. All of California is shining and praying for you guys tonight. Sure wish we could be in Boston to watch it all go down in person. Silence at Fenway is music to my ears!!
Go Halos!!!!!!!!!!!!!!!!!!!
What can I say? What a game. Let's put a couple early runs on the board tonight and SHUT 'EM DOWN for JUST ANOTHER HALO VICTORY!!! GO ANGELS!
WOOF! WOOF! What a game! You guys had me nervous and excited the entire game. Our pitchers were awesome, and Nap you did an outstanding job calling all the pitches for 12 innings, and 6 different pitchers…least to say, the 2 home runs over the green monster(1st one ended up in the parking lot). GOOD LUCK tonight! I'll be watching and like always (for 20 something yrs), I'll be routing for you!
I don't know how you guys can top last night's game for drama, excitement, PASSION, but I'm sure with Big John on the mound (Lackey, not the other guy) it's gonna be a wild, close-scoring "W" tonight for the Angels! I can't wait to see Napoli in there calling John's pitches again tonight — he is such a strong, solid guy, an incredible hitter! GO ANGELS! Take it to Boston early and score Lackey a few runs, that way the Sox have to try and catch us the entire game.. they won't do it! Torii, thank you for blogs.. I love getting a veteran player's perspective, thoughts, and a behind-the-scenes look at what really goes on during these playoff games!
I'll be watching from the comfort of my couch tonight, and I will see you Wednesday for game 5 baby! GO ANGELS!!
Sox fan giving T. Hunter props—
Torii, I admire you as a player. You play the game the way it was meant to be played. When it was evident that the Sox were going to play you guys in the first round I was scared, because I knew that the Angels are a different team with you on the club this year. You have a different aura about you, and I like how you play the game. I hope to see a good one tonight, and with those two pitchers going, I'm sure nobody will be letdown.
I gotta give you props for posting your message at 3-whatever in the morning too. Thanks for caring about the game. Good luck.
Torii, you are the bomb, you make me smile when you are interviewed along with your writing on your blog, you are very positive along with being comical, and that make anyone happy! Good Luck tonight, see you on WEDNESDAY at the BIG A
One of the most exciting games i've ever seen man!! Our whole family was going crazy and i'm sure we woke some neighbors up lol! Anyways best of luck in game 4 and you guys can take on Lester. Its possible!!! I have hope!
Lackey is very strong and can handle that lineup. I hope the offense does a bit better and actually bring in guys that are on base. Lots of guys LOB yesterday! Oh yeah and on that bloop single.. its no biggie! just don't do it again lol nah i love ya Torii!
p.s. way to go Nap!
What a game! I have such confidence that you all can go out there now and play like the regular season team that we know so well. Go Halos!
Great game last night, but here's a plan~~~ score eight to ten runs in the first three innings. That way I can relax and just enjoy the game. A calm, stress~free game. One where I don't have to worry about walk~offs runs, there's no yelling at umpire, and I'm not waking the kids celebrating a run in the 12th. There it is . . . get it done!
Thanks for a terrific game. I couldn't sleep until after 2AM!! You boys are all we talked about at school today. You can DO IT!!
Best of luck. Our prayers are with ya!!
Torii, I'm sad tonight, but wanted you to know how thrilled we are that you've been part of the team this year, and want to thank you and the entire team for the season we had. I don't want to focus on the "what if's" and "what could have been" and "if only". I just want to think about what an awesome season the Angels had.
We also want Tex to know how happy we are that he's been a part of the team….what an asset he would be, if he can stay.
From Sara & Kjell (Two Fans in Connecticut)
Torii –
What a clutch hit tonight. I'm beyond sad that the Angels couldn't bring the series back to Anaheim, but thanks for almost getting us there. You brought great veteran leadership to the team. Please do whatever you can to convince Mark Teixiera to stay. Let's build on this experience… and next year go all the way.
Thanks for a great year!
What a hit tonight to tie up the game. . . you did your usual part of coming "in the clutch!" Anyways, as disappointing as it is for us, I know it's even worse for our team – you guys! Just wanted to let you know thanks man and like the above guy said, give Tex some insight as if he already doesn't know that there's more to come . . . starting tomorrow in this offseason! Spring training isn't too far away – – – go Halo's.
Sorry Boys, My Bad Boys From Boston continue to feast on you at each playoff meeting like a pile of shrimp and dispose of your shell remains into Boston Harbor. For a Team that won 100 games and couldn't even win one at home shows that you were really not for real this season. Heck, even I thought you were going to win both in L.A. You are just like your brotheren Lakers: Just can't close the deal when it matters. Soccia is just a frumpy sorry manager. After three losing series he should take a hint.
So another Boston team has done you in just 4 months; and with any luck we'll continue beating and humiliating your sorry pathetic sportstown when the Dodgers stand up and take their rightful place for the next team to be absued by a far superior sports team and sports city (with 6 championships in 7 years).
Thanks. Peace and Love Angles Fans
Dave Henderson
Red Sox '86
Torri- You should have come to Boston and played with a REAL pro organization that wins championships and play with your ex-twin buddy David Ortiz instead of opting for the warm weather! You could have been a BIG STAR here. Now that Manny is gone, maybe you get yourself traded to Boston!
Torii,As an Angel season ticket holder and fan since 1968 we have had our ups and downs for sure. 2008 was a great season for which you had a great deal to do with. Win or loose the Angels do it with class. Continue to do what you do with your head high. As an Angel fan I am committed to do the same. Set your sights on next year. Enjoy your time off with your family and friends. That is what is truly important. We all hope to see most of the team back next year. In our troubled economic times I also hope that the players put it into perspective when contracts are up and salaries are determined. Many Americans are hurting and keeping the stands full is very important for the support that the team needs to succeed. Empty stadiums just do not work! Baseball is still the most affordable sports venue in America. It brings families together to enjoy quality time which is much needed these days. Thank you for being a part of that and we look forward to another great year in 2009! GO ANGELS! We love you Torii!!!
PS Thank you for being so great signing autographs. My grandson loves seeing you. He is 5 years old.


text:
The Love Yourself Hub presents..
a TLY-oke night!
music.meet. fun
Come and join us, it's open to all! (Saturday, Oct. 6, 6 PM.)
Register athttp://tinyurl.com/tly-oke
|(L-R) Raychie Lomongo, volunteer; Jerson See, Cebu Plus President; Dr. Ilya Tac-an, MD, Cebu City Social Hygiene Clinic; and Ronivin Pagtakhan, Love Yourself President & Founder
Hello! We are making a two-minute advocacy video on sexual health, and we need two actors for the roles of SHEENA and MON.
No prior acting experience needed!
* In her 20s
* Slender
* Bubbly and energetic
* Articulate in English and Filipino
* In his 20s
* Athletic
* Easygoing and cheerful
* Articulate in English and Filipino
Sheena and Mon are avid video bloggers (vloggers). They have been posting videos as a couple at least once a week for more than a year now, and have gained a huge following because they are charismatic and honest. Their vlogs are characterized by humor and accessibility, and touch on a range of topics. Serious issues are treated lightly but authoritatively. Both have had previous relationships, and think that getting tested for HIV is a milestone for them as a couple. They discuss the experience of getting tested in this video, their 93rd vlog, and encourage their viewers to follow their example.
If you are interested, fire up your webcam or your mobile phone and take a video of yourself performing your chosen role!
The deadline for submissions is on 3 October 2012 (Wednesday).
The shoot will take place in Quezon City during the first week of October.
Visit this link for more details: https://docs.google.com/
spreadsheet/viewform?formkey= dEpUZGJSVS1Gb293cmFwVEhGM2V2Z1 E6MQ
Inquiries may be sent to firstname.lastname@example.com.
Those who are interested may visit this page to learn more about our project: <https://docs.google.com/
spreadsheet/viewform?formkey= dEpUZGJSVS1Gb293cmFwVEhGM2V2Z1 E6MQ#gid=0>.


text:
Organization Theory: A Macro Perspective for Management
Prentice-Hall, 1982 - Management - 413 pages
The significance of organization in human affairs; The management of organizational design; The imperatives: critical dimensions for understanding organizations; Organizational continuity.
What people are saying - Write a review
We haven't found any reviews in the usual places.
The Significance
Why Study Organizations? A Model for Learning about
of Organizations
15 other sections not shown
Other editions - View all
Common terms and phrases
Academy of Management activities administrative component Administrative Science Quarterly analysis areas argued Aston study authority behavior bureaucracy Chapter characteristics CHARLES PERROW complexity conflict Contingencies Theory coordination decentralization decision departments determine dimensions diversification division divisional employees environment environmental evaluation example factors firms formal functional organization ganizations goals growth impact important increased industry influence inputs integration interaction interdependence internal interorganizational James G Joan Woodward Job Enrichment JOHN CHILD lateral relations managerial manufacturing matrix manager matrix organization measure ment multibusiness nization operations orga organization size organization structure organization's organizational design organizational development organizational effectiveness output pattern performance Perrow personnel predict problems relationship Review role rules social span of control specialists staff strategy struc suggested survival task theory tion ture types typology U.S. Steel uncertainty units variables Woodward zation


text:
A hometown concert on Monday, May 7, will help launch the Hope College Symphonette's forthcoming European tour.
A hometown concert on Monday, May 7, will help launch the Hope College Symphonette's forthcoming European tour.
The Symphonette will present a "farewell concert" on Monday, May 7, at 7:30 p.m. at Third Reformed Church in Holland.
The public is invited. The performance is free, but a freewill offering to support the tour will be taken.
The program will include the "Overture to 'Zamp'" by Ferdinand Herold, "Quiet City" by Aaron Copland, the "Masquerade Suite" by Aram Khachaturian, and "Serenade for Strings" by Peter Ilyich Tchaikovsky.
The European tour runs Friday-Wednesday, May 11-16, and includes performances in Germany, Austria and the Czech Republic.
The tour will start with three concerts in Munich, Germany on May 11-13. All three concerts will be in collaboration with the Evangelisch Kantori Herrshing, a German choir. In addition, a piano soloist and vocal soloists will join the group in two performances of Ludwig van Beethoven's "Choral Fantasy for Piano Solo, Choir, and Orchestra." Hope College professor Linda Dykstra, soprano, will also be performing with the Symphonette during the ensemble's European tour.
The May 11 and 13 Munich performances are at St. Matthäus church, considered one of the most important Lutheran churches in Germany, and are part of the Kirchen Music Series. The May 12 performance is part of the International Choir and Orchestra Series.
The Symphonette will then travel to Austria and the Czech Republic for two additional performances, performing in Salzburg, Austria on Monday, May 14, and in Prague in the Czech Republic on Wednesday, May 16.
The Hope College Symphonette is selected each year from the larger 75-member college symphony orchestra. Through the Symphonette, the college's department of music is able to offer concerts to church and school communities some distance from its campus and, at the same time, afford its more proficient players an unusual opportunity for group participation and concentrated study of musical styles.
The Symphonette has made numerous radio and television appearances and has presented children's and youth concerts in addition to its series of formal concerts. The Symphonette has performed for the biennial meetings of the Music Educators' National Conference (MENC) and appears regularly in cities in Western Michigan. The Symphonette has appeared on the nationally televised "Hour of Power" from Garden Grove Church in California.
The annual tour has taken the Symphonette from coast to coast in the U.S. as well as two Provinces in Canada, the British Isles, six countries in Europe, and to Australia and New Zealand.
The Symphonette is led by Professor Richard Piippo. Born in Wisconsin, Piippo has Baccalaureate and Master's degrees from the University of Wisconsin-Milwaukee. Since 1996, Piippo has spent his summers on the faculty of Seminar at Western Michigan University as conductor, solo performer, teacher, and coach. In the fall of 1999, Piippo joined the faculty of Hope College as professor of cello/chamber music and conductor of orchestras.


text:
Glee's season premiere is still more than three weeks away, but fans can get an early look at what songs to expect for the show's upcoming tribute to The Beatles.
The Season 5 premiere, titled "Love, Love, Love," sees New Directions faced with their biggest assignment yet: The Beatles! Mr. Schue (Matthew Morrison) will enlist the kids to pay homage to their music, which will be a catalyst for Blaine (Darren Criss) and Kurt (Chris Colfer) to try to answer questions about their future together. Elsewhere, Rachel's ambitions in New York will take an unexpected turn.
Which Glee star joined Dancing with the Stars?
In the second episode of the season, "Tina in the Sky with Diamonds," McKinley High's student body will vote for prom queen and king. However, when Tina (Jenna Ushkowitz) receives a nomination, she takes on a fierce attitude that could land her in hot water. In New York, Rachel (Lea Michele) and Santana (Naya Rivera) work at a Broadway diner to make ends meet.
So which songs by the Fab Four will Glee take on? Check out the track list for the show's upcoming album, Glee Sings The Beatles, which features songs from the first two episodes:
1. "Yesterday"
2. "Drive My Car"
3. "Got To Get You Into My Life"
4. "You've Got To Hide Your Love Away"
5. "Help"
6. "A Hard Day's Night"
7. "I Saw Her Standing There"
8. "All You Need Is Love"
9. "Get Back"
10. "Here Comes The Sun"
11. "Something"
12. "Sgt. Pepper's Lonely Hearts Club Band"
13. "Hey Jude"
14. "Let It Be"
Glee Sings The Beatles hits stores on Sept. 24. The new season of Glee premieres on Thursday, Sept. 26 at 9/8c on Fox. Did your favorite Beatles tunes make the cut?


text:
Welcome to the forum.
If you want to teach one-to-one in your own home, it's not obligatory to have a qualification of any kind. Many students would prefer that you have one but, especially if you can concentrate on conversational English, you can do it using just your own knowledge.
I think it would be difficult for you to add what you learned to your CV without some mention of how you learnt it. In what way would you give that information anyway?
Student or Learner


text:
Rube Goldberg
|Rube Goldberg
In 1916
|Reuben Garrett Lucius Goldberg
July 4, 1883
San Francisco, California, U.S.
|December 7, 1970
(aged 87)
New York City, New York, U.S.
|Resting place
|Mount Pleasant Cemetery in Hawthorne, New York
|Engineer, sculptor, news reporter, cartoonist
|Known for
|Rube Goldberg machines
Reuben Garrett Lucius "Rube" Goldberg (July 4, 1883 – December 7, 1970) was an American cartoonist, sculptor, author, engineer, and inventor.
He is best known for a series of popular cartoons depicting complicated gadgets that perform simple tasks in indirect, convoluted ways, similar to Heath Robinson devices in the UK, as well as the Storm P devices in Denmark. Goldberg received many honors in his lifetime, including a Pulitzer Prize for his political cartooning in 1948 and the Banshees' Silver Lady Award in 1959.[1]
Goldberg was a founding member and the first president of the National Cartoonists Society,[2] and he is the namesake of the Reuben Award, which the organization awards to the Cartoonist of the Year. He is the inspiration for various international competitions, known as Rube Goldberg Machine Contests, which challenge participants to make a complicated machine to perform a simple task.
Personal life
Reuben Lucius Goldberg was born July 4, 1883, in San Francisco, California, to Jewish parents Max and Hannah (Cohen) Goldberg.[3] He was the third of seven children, three of whom died as children (older brother Garrett, younger brother Walter, and younger sister Lillian also survived).[4]
Rube began tracing illustrations when he was four years old, and first took professional drawing lessons when he was eleven.[4]
Rube married Irma Seeman on October 17, 1916.[3] They lived at 98 Central Park West in New York City and had two sons named Thomas and George.
During World War II Goldberg's sons changed their surname, at Goldberg's insistence, because of the amount of hatred towards him stemming from the political nature of his cartoons.[5] Thomas chose the surname of George for his brother, and George, wanting to keep a sense of family cohesiveness, did the same. Thomas and George's children now run a company called RGI (Rube Goldberg Incorporated) to maintain the Goldberg name. John George (Thomas's son) is assisted by his cousin Jennifer George[6][7] (George's daughter) and John's son Joshua George to keep the family name alive.[8]
Goldberg died in 1970 at the age of 87, while his widow, Irma, died on April 26, 1990 at the age of 95.[9]
Goldberg's father was a San Francisco police and fire commissioner, who encouraged the young Reuben to pursue a career in engineering. Rube graduated from the University of California, Berkeley in 1904 with a degree in Engineering [1] and was hired by the city of San Francisco as an engineer for the Water and Sewers Department. After six months he resigned his position with the city to join the San Francisco Chronicle where he became a sports cartoonist.[1] The following year, he took a job with the San Francisco Bulletin, where he remained until he moved to New York City in 1907, finding employment as a cartoonist with the New York Evening Mail.[4]
The New York Evening Mail was syndicated to the first newspaper syndicate, the McClure Newspaper Syndicate, giving Goldberg's cartoons a wider distribution, and by 1915 he was earning $25,000 (25,000 is equivalent to about 581,217 dollars today) per year and being billed by the paper as America's most popular cartoonist.[4] Arthur Brisbane had offered Goldberg $2,600 per year in 1911 in an unsuccessful attempt to get him to move to William Randolph Hearst's newspaper chain, and in 1915 raised the offer to $50,000 per year. Rather than lose Goldberg to Hearst, the New York Evening Mail matched the salary offer and formed the Evening Mail Syndicate to syndicate Goldberg's cartoons nationally.[4]
Goldberg was syndicated by the McNaught Syndicate from 1922 until 1934.
A prolific artist, Goldberg produced several cartoon series simultaneously, including Mike and Ike (They Look Alike), Boob McNutt, Foolish Questions,[10] What Are You Kicking About,[11] Telephonies,[12] Lala Palooza and The Weekly Meeting of the Tuesday Women's Club. The cartoons that brought him lasting fame involved a character named Professor Lucifer Gorgonzola Butts. In that series, Goldberg drew labeled schematics of the comical "inventions" that would later bear his name.
Cultural legacy
In 1931 the Merriam-Webster dictionary adopted the phrase "Rube Goldberg"[dubious ] as an adjective defined as accomplishing something simple through complicated means.[13]
Predating Goldberg, the corresponding term in the UK was, and still is, "Heath Robinson", after the English illustrator with an equal devotion to odd machinery, also portraying sequential or chain reaction elements.[14]
Goldberg's work was commemorated posthumously in 1995 with the inclusion of Rube Goldberg's Inventions, depicting Professor Butts' "Self-Operating Napkin" in the Comic Strip Classics series of U.S. postage stamps.[15]
Film and television
Rube Goldberg wrote a feature film featuring his machines and sculptures called Soup to Nuts, which was released in 1930 and starred Ted Healy and The Three Stooges.
In the 1962 John Wayne movie Hatari!, an invention to catch monkeys by character Pockets, played by Red Buttons, is described as a "Rube Goldberg."
In the late 1960s and early 70s, educational shows like Sesame Street, Vision On and The Electric Company routinely showed bits that involved Rube Goldberg devices, including the Rube Goldberg Alphabet Contraption, and the What Happens Next Machine.[16][17]
Various other films and cartoons have included highly complicated machines that perform simple tasks. Among these are Flåklypa Grand Prix, Looney Tunes, Tom and Jerry, Wallace and Gromit, Pee-wee's Big Adventure, The Way Things Go, Edward Scissorhands, Back to the Future, Honey, I Shrunk the Kids, The Goonies, Gremlins, the Saw film series, Chitty Chitty Bang Bang, The Cat from Outer Space, Malcolm, Hotel For Dogs, the Home Alone film series, Family Guy, American Dad!, and Waiting...
Also in the Final Destination film series the characters often die in Rube Goldberg-esque ways. In the film The Great Mouse Detective, the villain Ratigan attempts to kill the film's heroes, Basil of Baker Street and David Q. Dawson, with a Rube Goldberg style device. The classic video in this genre was done by the artist duo Peter Fischli & David Weiss in 1987 with their 30-minute video "Der Lauf der Dinge" or "The Way Things Go".
Honda produced a video in 2003 called "The Cog" using many of the same principles that Fischli and Weiss had done in 1987.
In 2005, the American alternative rock/indie band The Bravery released a video for their debut single, "An Honest Mistake," which features the band performing the song in the middle of a Rube Goldberg machine.
In 1999, an episode of The X-Files was titled "The Goldberg Variation". The episode intertwined characters FBI agents Mulder and Scully, a simple apartment super, Henry Weems (Willie Garson) and an ailing young boy, Ritchie Lupone (Shia LaBeouf) in a real-life Goldberg device.
The 2010 music video "This Too Shall Pass – RGM Version" by the rock band OK Go features a machine that, after four minutes of kinetic activity, shoots the band members in the face with paint. "RGM" presumably stands for Rube Goldberg Machine.[18]
2012 The CBS show Elementary features a machine in its opening sequence.
2014 The Web Series, "Deadbeat," on Hulu features an episode titled, "The Ghost in the Machine," which features the protagonist, Kevin, helping the ghost of Rube Goldberg complete a contraption that will bring his grandchildren together after making a collection of random items into a machine that ends up systematically injuring two of his grandchildren so they end up in the same hospital and finally meet.
Both board games and video games have been inspired by Goldberg's creations, such as the 60's era board game Mouse Trap, the 1990s-era series of The Incredible Machine games, and Crazy Machines.[citation needed] The Humongous Entertainment game Freddi Fish 2: The Case of the Haunted Schoolhouse involves searching for the missing pieces to a Rube Goldberg machine to complete the game.
Rube Works: The Official Rube Goldberg Invention Game, the first game authorized by The Heirs of Rube Goldberg, was published by Unity Games (the publishing arm of Unity Technologies) in November 2013.[19]
See also
- W. Heath Robinson, a British cartoonist who also became famous for drawing absurd machines
- Chindōgu
- Deathtrap (plot device)
- Domino effect
- Domino show
- Frederick Rowland Emett
- Jean Tinguely, Swiss artist who created Rube Goldberg–like sculptures
- Mickey One
- Mouse Trap (game)
- PythagoraSwitch
- Storm P, a Danish contemporary artist who drew "inventions" similar to Rube Goldberg's
- ↑ 1.0 1.1 1.2 Goldberg, Reuben. "Members / In Memoriam / Rube Goldberg" (JPEG). reuben.org. National Cartoonists Society. Retrieved August 5, 2009.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "The History of the NCS". reuben.org. National Cartoonists Society.
- ↑ 3.0 3.1 Contemporary Authors: First revision, Volumes 5–8. Gale Research Company. 1969. p. 448.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ 4.0 4.1 4.2 4.3 4.4 Marzio, Peter C. (1973). Rube Goldberg: His Life and Work. Harper and Row. ISBN 0060128305.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ Peterson, Alison J. (November 20, 2007). "George W. George, at 87; writer, producer of films and Broadway plays". New York Times News Service. Boston Globe. Retrieved January 28, 2015.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "The Art of Rube Goldberg". Jennifer George NYC. Retrieved December 13, 2012.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ George, Jennifer. "About". Rubegoldberg.com.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ Peterson, Alison J. (November 20, 2007). "Obituaries – George W. George, at 87; writer, producer of films and Broadway plays". The Boston Globe. New York Times News Service. Retrieved November 28, 2007.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "Obituaries – Irma Seeman Goldberg; Hospital Volunteer, 95". The New York Times. April 27, 1990. Retrieved August 5, 2009.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "Foolish Questions hi". The San Francisco Call. December 2, 1910. p. 13.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "What Are You Kicking About". The San Francisco Call. June 1, 1910. p. 13.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "Telephonies". The San Francisco Call. July 12, 1911. p. 10.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "Rube Goldberg". Merriam-Webster Online Dictionary. 2009. Retrieved August 5, 2009.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "Pleasingly Pointless". Brimstonesandtreacle.wordpress.com. February 27, 2012. Retrieved December 13, 2012.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "American Topics: 20 Classic Comic Strips Get (Postage) Stamp of Approval". The New York Times. May 8, 1995. Retrieved August 5, 2009.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "Sesame Street: What Happens Next Machine". Youtube.com. August 6, 2010. Retrieved December 8, 2013.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "Rube Goldberg alphabet contraption, Sesame Street". Youtube.com. Retrieved December 8, 2013.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "OK Go – This Too Shall Pass – Rube Goldberg Machine version". YouTube. March 1, 2010. Retrieved March 2, 2010.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- ↑ "Rube-Goldberg Puzzler "Rube Works" Now Available for iPad and iPhone". Gamasutra. November 13, 2013. Retrieved December 27, 2013.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
- Wolfe, Maynard Frank (2000). Rube Goldberg: Inventions. New York: Simon & Schuster. ISBN 0684867249.<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
External links
|Wikimedia Commons has media related to Rube Goldberg.
- Official Rube Goldberg website
- Toonopedia entry
- Smithsonian's Archives of American Art: Oral History Interview with Rube Goldberg, 1970
- NCS Awards
- IMDB biography
- Guide to the Rube Goldberg Papers at The Bancroft Library
- CS1: Julian–Gregorian uncertainty
- Use mdy dates from May 2015
- Articles with hCards
- All accuracy disputes
- Articles with disputed statements from November 2015
- Articles with unsourced statements from March 2012
- Commons category link is defined as the pagename
- 1883 births
- 1970 deaths
- American editorial cartoonists
- American engineers
- University of California, Berkeley College of Engineering alumni
- American humorists
- American male journalists
- People from New York City
- Writers from San Francisco, California
- Pulitzer Prize for Editorial Cartooning winners
- Reuben Award winners
- American Jews
- Jewish engineers
- Jewish humorists
- Artists from San Francisco, California
- Jewish inventors


text:
DeKalb, IL – Two friends of father, community hero, and teacher, Brian R. King have recently launched a crowdfunding campaign at http://tiffanyteeworld.com/free-brian-r-king/ to raise funds for King to be able to purchase a 'Mobility Van' – a vehicle designated for individuals with disabilities. Diagnosed with Ehlers Danlos Syndrome (EDS) just four years ago, King has faced numerous challenges physically and emotionally, but endeavors to promote better understanding and acceptance of his living with disabilities as a cherished activist and mentor of the community.
As a father of three sons with ASD and ADHD, and a cancer survivor himself, 26-year old Brian King faces the challenges that accompany his disabilities head-on with strength many have admired him for. Although he additionally struggles with adult Dyslexia, Asperger's Syndrome, and ADHD, his EDS diagnosis has presented the most physically-debilitating obstacles in his life yet. Despite these challenges, his commitment to his occupational efforts of being a father, compassionate social worker, and community role model has not wavered. Those closest to him have recognized the struggles he faces and are now endeavoring to help.
This assistance has manifested through the recent launch of a crowdfunding campaign for Brian R. King, one seeking "earth angels" in the community for donations that will be able to pay for a new set of wheels for King. The campaign identifies the intended purchase of a Mobility Van for King as a dream come true for both him and his family, as it would provide significantly more ease in transportation for the beloved community member.
"He gives so much to his family and the community," one friend of King's says, "and now it's time that he receives some of that 'giving back' himself." The two friends of King who launched the campaign, Tiffany Lee Ballard and Wade Bloodgood, characterize the campaign as not only one that would support King, but also raise much-needed awareness and understanding of the impact of disability on both the individual and familial levels.
In addition to reaching out to individual contributors, those behind the campaign are also reaching out to potential sponsors, charities, and foundations that may be able to support the effort to raise money for a new set of wheels for King and his family. The eventual hope of both King and his loved ones spreading awareness of the campaign is to be able to purchase a vehicle that would lessen the hardship obstacles have presented for the family, and promote a message of togetherness and support.
Media Contact
Company Name: Tiffanyteeworld.com
Contact Person: Brian King
Email: email@example.com
Phone: 8152637895
City: DeKalb
State: IL 60115
Country: United States
Website: http://tiffanyteeworld.com/free-brian-r-king/


text:
Toni Braxton Suffers Wardrobe Malfunction at Concert
Toni Braxton gave fans quite a show as her barely-there dress slipped off her curvaceous figure during her concert performance in New Brunswick, N.J. Lucky for us, it was all caught on video.
In the clip, posted by TMZ, Toni's glittery blue dress starts to slowly drop after she allows several men to join her onstage for a dance. In the midst of shaking her rump, the 45-year-old songbird's dress falls off exposing her assets.
But like a pro, Toni kept on performing and, afterward, flaunted her cheeky side to the audience.
One of the men was kind of enough to give Toni his sports jacket to cover up while a stylist ran behind her to fix the back of her dress.
In the end, Toni was a little embarrassed but took her wardrobe malfunction in stride.
"Nobody's Perfect! Lol can't wait to see you guys tonight! #Detroit," she tweeted to her followers. Her sister, Tamar, responded, "You are tho sissy! At least your a-- is AMAZING!"
After watching the video, we have to agree with Tamar. Toni's derriere is bootylicious -- word to Beyonce. You go girl!


text:
Long Island City, NY (PRWEB) January 06, 2014
Edward C. Yang, MD, has been named Chief of Orthopaedics at Mount Sinai Queens. Dr. Yang, board certified by the American Board of Orthopaedic Surgeons and a fellow of the American Academy of Orthopaedic Surgeons, had previously served as Regional Director of Orthopaedic Surgery at Elmhurst Hospital Center in the Queens Hospital Network. Dr. Yang is also a Professor of Orthopaedic Surgery at the Icahn School of Medicine at Mount Sinai. The appointment was announced by Brian Radbill, MD, Chief Medical Officer and Vice-President of Medical Affairs at Mount Sinai Queens.
"We are delighted to welcome Dr. Yang to our staff at Mount Sinai Queens. He joins a strong team and will expand the capabilities we already have in this critically important surgical area," said Caryn A. Schwab, Executive Director, Mount Sinai Queens.
Dr. Yang earned his medical degree from New York University School of Medicine and completed his Orthopedic Surgery residency at NYU's Hospital for Joint Diseases, Orthopedic Institute.
"I am especially excited to be part of the community that is Mount Sinai Queens," said Dr. Yang. "There is a sense of family and that extra measure of caring one experiences in the community hospital that is so appealing to me, and that you don't find in the larger hospital settings."
Dr. Yang specializes in total joint replacement and fractures. He is particularly interested in geriatric trauma, especially hip fractures and is the author of numerous articles in peer-reviewed publications and is a much sought after speaker at national and international symposia. Dr. Yang is also an Honorary Police Surgeon for the New York City Police Department.
About Mount Sinai Queens
Mount Sinai Queens is a 235-bed licensed acute care facility, providing adult medical and surgical services, with a team of nearly 500 physicians representing close to 40 medical and surgical specialties and sub-specialties. A total of 35 languages are spoken among the physicians and staff; just one of the many ways that Mount Sinai Queens serves the needs of the culturally diverse population in our community. Mount Sinai Queen has an extensive program of community outreach that goes beyond simply informing and teaching. Through programs designed to empower people to take control of their health, Mount Sinai Queens hosts classes, screenings and activities throughout the community. Visit http://www.mshq.org/.
# # #
Read the full story at http://www.prweb.com/releases/2014/01/prweb11466081.htm.
|Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved


text:
Yom Kippur, the "Day of Atonement," is said to be the holiest day of the Jewish year. Falling ten days after Rosh Hashanah (the Jewish New Year), Yom Kippur is the culmination of the Jewish High Holy Days and begins this year at sunset on Tuesday, September 25, and ends 25 hours later, after nightfall on Wednesday, September 26.
The period is one of solemnity, fasting, abstaining from work, and praying at special synagogue or temple services.
Beginning an hour before sunset, when Yom Kippur commences, and ending an hour after nightfall, when Yom Kippur concludes, strict observance of the Torah commands that no food or liquid be consumed. The focus should not be on physical needs but rather spiritual ones. Some exceptions are made, however, for the elderly, the infirmed, pregnant women, new mothers, or if there are other major health concerns.
Repentance (Teshuvah) and Charity (Tzedakah)
According to Jewish tradition, on Rosh Hashanah, each person's fate for the coming year is inscribed by God into the Book of Life, and that the final verdict is sealed on Yom Kippur. During the ten days leading to Yom Kippur, Jews are encouraged to seek forgiveness from anyone they may have offended during the year, to give charity, and to pray. This period of repentance, generosity, and introspection is meaningful and important to Jews all over the world.
A special prayer book called a Machzor is used for all the unique prayers chanted on Yom Kippur. These include Kol Nidrei, an Aramaic plea for God to forgive any vows made that were not honored during the past year. It is recited at the start of the holiday, and Al Chet, a listing of and a request for forgiveness for many types of transgressions one may have committed throughout the year is also chanted. Services are held during most of the day until Neilah, the closing prayer, at which time a shofar (ram's horn) blasts and signals the end of Yom Kippur.
You can honor the traditions and celebration of this Holy Day by sending a Yom Kippur card to someone who will surely appreciate your thoughtful gesture and respectful good wishes.


text:
Our Secret American Security State
Top Secret America: The Rise of the New American Security State
Intelligence and US Foreign Policy: Iraq, 9/11, and Misguided Reform
Counterstrike: The Untold Story of America's Secret Campaign Against Al Qaeda
What is the American intelligence bureaucracy good for? The question is difficult to ask in a serious way in Washington because it risks raising the hackles of career intelligence professionals and their political sponsors at a time when spy agencies remain under pressure to combat resilient if diminished international terrorist groups and to monitor and check Iran's nuclear program, among other challenges. Yet a serious, transparent review of the intelligence system's strengths and limitations is overdue.
The past decade has witnessed one of the most egregious misuses of intelligence in American history—the Bush administration's distortion of information about Saddam Hussein's terrorist ties and unconventional weapons, in order to justify the invasion of Iraq. It has also seen a surge of paramilitary activity and covert action that has included the operation of secret prisons, the use of torture, and targeted killing. The Obama administration ended officially sanctioned torture, but it has refused to allow official inquiries into how it occurred, and the administration has increased the number of covert, unacknowledged targeted killings through the use of armed, unmanned aerial drones in Afghanistan, Pakistan, Yemen, and elsewhere.
In all, a president who might have challenged the American intelligence bureaucracy and given it a new direction has instead maintained and even expanded what he inherited. Nor has Congress reviewed the hasty organizational reforms it enacted after September 11 or reckoned in depth with the problems exposed by the Iraq disaster. The vital questions that seemed to be begged after the Bush era—about the intelligence system's scope, effectiveness, costs, outsourcing, legal justifications, and vulnerability to politicization—have remained largely unaddressed.
Intelligence collection is an aspect of self-defense. Some of the work can be distasteful, but there is hardly a kingdom, empire, or democracy in history that has not engaged spies to provide warning about potential surprise attacks, assess the intentions of hostile governments, and ferret out the espionage of other powers. The United States did so in a modest way during the first century and a half of its existence. In an age of slow-moving ships, two oceans rendered strategic surprise unlikely. Pearl Harbor ended that era. By the early 1950s the American intelligence system was swelling into a labyrinth whose size would become much greater than anything imagined by the authors of the Constitution—intelligence became a sprawling, largely self-managing arm of cold war strategies and Pax Americana. The shape of the present intelligence bureaucracy—and the recurring doubts about its accountability to Congress and the public—are traceable to this postwar period.
The mission of cold war spies was to give warning about—and to help prevent—a Soviet nuclear strike on the United States or a conventional invasion of Western Europe, which might escalate into Armageddon.…
This is exclusive content for subscribers only.
Get unlimited access to The New York Review for just $1 an issue!
Continue reading this article, and thousands more from our archive, for the low introductory rate of just $1 an issue. Choose a Print, Digital, or All Access subscription.
If you are already a subscriber, please be sure you are logged in to your nybooks.com account.


text:
Window shades in Cheyenne come in many varieties and styles. There are low-cost shades and custom shades that are available in the market today. Low-cost window shades include basic roller shades that are cut-to-order to ensure that they will be a perfect fit to your windows. They're relatively cheaper and can only cost around $7 to $25 per piece and can be installed easily without the need of a professional. Custom shades, on the other hand, have the clean and fitted look of their low-cost counterpart. However, they have added features like cordless operation, energy efficiency, and automatic movement. They also require professional installation. The cost of a custom window shade in Cheyenne depends on what features a homeowner will choose to go with the shade and the size of the window. It is estimated to cost around $150 to $200 per window and can go as high as $1,000 or more with added features.
Estimated final cost for window shades
|Fair Price
|Window Shade Cost
|1 Shade
|Window Shade Labor
|2 Hours
|Window Shade Job Materials and Supplies
|1 Shade
|Totals - Cost to Install Window Shades - 1 Shade
|Average Cost Per Shade


text:
|FEG Escape Game Glory 2 ESCAPE
|Room Escape
|FEG Escape Game Glory 2
|You will get all the glory and laurels when you achieve great feats. Attaining such things take lots of skills. Bring glory to yourself in this escape game by proving that you are capable of solving the unsolvable puzzles and finding the hidden clues.
In this escapegame,you are trapped inside the glacier iceland water. No one is there to help you.you have to escape from there by finding useful objec..
Imagine that you had been to a space for research purpose there your colleague got trapped inside the spaceship. Here is the interesting puzzles and h..
We know that you are a great fan of Escape games but that doesn't mean you should not like puzzles. So here we present you Treasure Trove Escape Fr..
In one village there was a palace of very large size. In that palace lived a humour monster. Everyone in the village was terrified when they saw the ..
Assume that you have been locked inside of this guest room and you have to find the way to escape from this guest room. Use your own skill to find the..
In a dark village, there were many kinds of houses. A woman lived in a house there. She loves her elated neila doll so much. One day she was playing w..
In this game you have entered into the high school, unfortunately, the door got closed. you have to find the key to coming out from this place with th..
In this escape game, you came to Diversity Wilderness. But unfortunately, you missed the way out from that place. You have to find the way to escape f..
Imagine that you have been locked inside of this house, you can find useful stuffs and interesting clues symbols to solve and finally escape from this..
In this escape game, you came to Creek Lake Forest. But unfortunately, you missed the way out from that place. You have to find the way to escape from..
Assume that you are trapped in the little girl and you try to rescue the little girl by using objects, keys, hints, and by solving puzzles. Can you e..
We know that you are a great fan of Escape games but that doesn't mean you should not like puzzles. So here we present you Fierce Female Warrior Esc..
Note: The Google Chrome browser comes with the Flash player pre-installed automatically. I recommend Chrome as a secure browser to use when playing flash games online.
WowEscape.com is a specialised developer and publisher of escape games. Ever imagined being locked in a room and challenged to break out using nothing but your brainpower? Escape game, is a type of point-and-click adventure game which requires a player to escape from a place, house or room by utilizing the objects in that surroundings. On WowEscape.com you can find all type of escape games for all kind of people! We have a massive selection of best free online escape games! Wowescape.com is the first website to release all the new escape games daily. We make every effort to offer the best escape games for the escape gaming audience. WowEscape.com is a safe website to visit, as our website is also easy to use, and we mainly include games that meet the varied demands of the escape gaming audience. In short, we offer top best online escape games that have been appreciated from the gaming community and from the experts. You can also give suggestions for us through contact us link to keep improving the quality of the games and website. With a team of highly professional and experienced creative art production and programming teams, we are delivering the finest online escape games to the world. We are devoted to excel in our services and work towards delivering high quality escape games. We intensively support as well as encourage our users and game companies to download, and use our games for their pleasure and business purposes.


text:
Every product and merchandise that STILLEN produces and provides is thoroughly tested and modified to ensure top quality. Making modifications with time has always been Steve Millens Motto, and that is precisely how STILLEN operates its business. Highly reputable enthusiast magazines have sought Steve's expertise for testing the best sports cars the world has to offer, which only goes on to show the high level of refinement and scrutiny the STILLEN'S products go through. You will find endless ravings about STILLEN products on famous enthusiast magazines like Super Street, the Smoking Tire, Road and Track, Car and Driver, and Motor Trend among many others.
- Skid Plate Protects Front Bumper From Mild Scrapes.
- Vehicle Specific Fitment for OE Front Fascia.
- Polyurethane Construction Ensures No Cracking.
- Install as is or Can Be Painted to Color Match.
- Developed and Manufactured In-House.
- Limited Lifetime Warranty.
- Urethane Skid Plate.
- For Use With OEM Fascia.
- 2009-2011 Nissan GT-R Polyurethane Skid Plate.
Installation Notes:
Professional installation is required.
Fitment & Application:
|Part Number
|Shipping Method
|UPS/FedEx/USPS Ground
|Normally ships in 3-7 business days. Made to order. Made in California.
|Will-call/Pick-up in
|Costa Mesa, CA
|California Prop 65 Warning
This product can expose you to chemicals that are known to the State of California to cause cancer and birth defects, or other reproductive harm. For more information, visit www.P65Warnings.ca.gov


text:
We are here to serve you online. The online system extends the hours of availability, but will not be available during maintenance periods. Because of the need to post payments and prepare for the next accounting Period, the payment system will not be available from 11:15 PM to Midnight.
Payment information may not be available at certain times due to additional system maintenance activities. If your transaction has a due date associated with it, it is your responsibility to ensure that your payment is made by that due date. Delays caused by unavailability of any online service DO NOT warrant the reversal of late fees.
PLEASE NOTE: Convenience fees for payments are collected in a separate transaction in accordance with the applicable fee schedule.


text:
Viewing entries posted in December 2015
What is essential? That's a question we've been collectively wrestling with in 2020. We've learned there are things we can do without, and things we need more than ever. Things like connection, hope, and encouragement.
Restoration Village is Northwest Arkansas' faith-based, long-term crisis shelter for women and children. They work to restore hope and break the cycle of abuse for women and children in crisis by providing safe shelter and life-changing services.
If I look back on my daily to-do list since March, "singing" hasn't been one single task at all. In fact, I actually looked back on my digital task list for the past few months and if I had to describe the overall theme I'd say it's more or less just "get through this.
Celebrate Recovery is a ministry where all are welcome to gather together to find hope and healing from Jesus for life's hurts, habits, and hang-ups.
Have you ever read a passage of scripture and had a hard time believing it? Perhaps you've stood in church for a worship song or hymn and struggled to make yourself sing the words.
In walks one of my little boys, and he is battling yet again. He is becoming overwhelmed with agitation and anxiety, because something he is playing with isn't cooperating. It is a big, big problem! Things are just not going his way, and he is letting the whole house know about it loud and clear.
"Remember when you so badly wanted what you currently have?" I know what you're thinking, this quote doesn't seem all that exciting, at first glance it looks like one of quotes you'd see on Pinterest or printed across a trendy coffee mug.
The sky outside is a dense, soaked grey today. It reminds me of earlier this year when my husband and I watched from our living room window as menacing clouds rose up in the distance then stretched their fingers tentatively toward the ground. We live in tornado country and we don't take such sights lightly.
When Daymara decided to create a place for people with disabilities to develop job skills baking bread seemed like a natural fit for the endeavor. After all, her last name is Baker.
My mother did an admirable job of teaching me the importance of good manners. Greeting others with a smile, speaking only when spoken to, chewing with your mouth closed; saying "please, " saying "thank you. " Early on I learned it was especially important that I personally write a thank-you note upon receiving a gift from someone.


text:
(See also Overview of Crystal-Induced Arthritides.)
Gout is more common among men than women. Usually, gout develops during middle age in men and after menopause in women. Gout is rare in younger people but is often more severe in people who develop the disorder before age 30. Gout often runs in families. Patients with metabolic syndrome are at risk of gout.
The greater the degree and duration of hyperuricemia, the greater is the likelihood that gout will develop. Urate levels can be elevated because of
Why only some people with elevated serum uric acid (urate) levels develop gout is not known.
Decreased renal excretion is by far the most common cause of hyperuricemia. It may be hereditary and also occurs in patients receiving diuretics and in those with diseases that decrease GFR. Ethanol increases purine catabolism in the liver and increases the formation of lactic acid, which blocks urate secretion by the renal tubules, and ethanol may also stimulate liver urate synthesis. Lead poisoning and cyclosporine, usually in the higher doses given to transplant patients, damage renal tubules, leading to urate retention.
Increased production of urate may be caused by increased nucleoprotein turnover in hematologic conditions (eg, lymphoma, leukemia, hemolytic anemia) and in conditions with increased rates of cellular proliferation and cell death (eg, psoriasis, cytotoxic cancer therapy, radiation therapy). Increased urate production may also occur as a primary hereditary abnormality and in obesity, because urate production correlates with body surface area. In most cases, the cause of urate overproduction is unknown, but a few cases are attributable to enzyme abnormalities; deficiency of hypoxanthine-guanine phosphoribosyltransferase (complete deficiency is Lesch-Nyhan syndrome) is a possible cause, as is overactivity of phosphoribosylpyrophosphate synthetase.
Increased intake of purine-rich foods (eg, liver, kidney, anchovies, asparagus, consommé, herring, meat gravies and broths, mushrooms, mussels, sardines, sweetbreads) can contribute to hyperuricemia. Beer is particularly rich in guanosine, a purine nucleoside. However, a strict low-purine diet lowers serum urate by only about 1 mg/dL.
Urate precipitates as needle-shaped monosodium urate (MSU) crystals, which are deposited extracellularly in avascular tissues (eg, cartilage) or in relatively avascular tissues (eg, tendons, tendon sheaths, ligaments, walls of bursae) and skin around cooler distal joints and tissues (eg, ears). In severe, long-standing hyperuricemia, MSU crystals may be deposited in larger central joints and in the parenchyma of organs such as the kidney. At the acid pH of urine, urate precipitates readily as small platelike or diamond-shaped uric acid crystals that may aggregate to form gravel or stones, which may obstruct urine outflow. Tophi are MSU crystal aggregates that most often develop in joint and cutaneous tissue. They are usually encased in a fibrous matrix, which prevents them from causing acute inflammation.
Acute gouty arthritis may be triggered by trauma, medical stress (eg, pneumonia or other infection), surgery, use of thiazide diuretics or drugs with hypouricemic effects (eg, allopurinol, febuxostat, probenecid, nitroglycerin), or indulgence in purine-rich food or alcohol. Attacks are often precipitated by a sudden increase or, more commonly, a sudden decrease in serum urate levels. Why acute attacks follow some of these precipitating conditions is unknown. Tophi in and around joints can limit motion and cause deformities, called chronic tophaceous gouty arthritis. Chronic gout increases the risk of developing secondary osteoarthritis.
Symptoms and Signs
Acute gouty arthritis usually begins with sudden onset of pain (often nocturnal). The metatarsophalangeal joint of a great toe is most often involved (called podagra), but the instep, ankle, knee, wrist, and elbow are also common sites. Rarely, the hip, shoulder, sacroiliac, sternoclavicular, or cervical spine joints are involved. The pain becomes progressively more severe, usually over a few hours, and is often excruciating. Swelling, warmth, redness, and exquisite tenderness may suggest infection. The overlying skin may become tense, warm, shiny, and red or purplish. Fever, tachycardia, chills, and malaise sometimes occur.
The first few attacks usually affect only a single joint and last only a few days. Later attacks may affect several joints simultaneously or sequentially and persist up to 3 wk if untreated. Subsequent attacks develop after progressively shorter symptom-free intervals. Eventually, several attacks may occur each year.
Tophi develop most often in patients with chronic gout, but they can rarely occur in patients who have never had acute gouty arthritis. They are usually firm yellow or white papules or nodules, single or multiple. They can develop in various locations, commonly the fingers, hands, feet, and around the olecranon or Achilles tendon. Tophi can also develop in the kidneys and other organs and under the skin on the ears. Patients with osteoarthritic Heberden nodes may develop tophi in the nodes. This development occurs most often in elderly women taking diuretics. Normally painless, tophi, especially in the olecranon bursae, can become acutely inflamed and painful, often after mild or inapparent injury. Tophi may even erupt through the skin, discharging chalky masses of urate crystals. Tophi in and around joints may eventually cause deformities and secondary osteoarthritis.
Chronic gout
Chronic gouty arthritis can cause pain, deformity, and limited joint motion. Inflammation can be flaring in some joints while subsiding in others. About 20% of patients with gout develop urolithiasis with uric acid stones or calcium oxalate stones.
Complications of chronic gout include renal obstruction and infection, with secondary tubulointerstitial disease. Untreated progressive renal dysfunction, most often related to coexisting hypertension or, less often, some other cause of nephropathy, further impairs excretion of urate, accelerating crystal deposition in tissues.
Cardiovascular disease and the metabolic syndrome are common among patients with gout.
The diagnosis of gout should be suspected in patients with acute monoarticular arthritis or oligoarticular arthritis, particularly older adults or those with other risk factors. Podagra and recurrent instep inflammation are particularly suggestive. Previous attacks that began explosively and resolved spontaneously are also characteristic. Similar symptoms can result from the following:
Acute calcium pyrophosphate arthritis (calcium pyrophosphate dihydrate (CPPD) crystal deposition disease) (however, calcium pyrophosphate deposition generally occurs in larger joints, is not associated with tophi, and its clinical course is usually milder)
Acute rheumatic fever with joint involvement and juvenile idiopathic arthritis (however, these disorders occur mostly in young people, who rarely get gout)
RA (however, in RA, all affected joints flare, flares persist for longer, and flares in all joints subside together, whereas in gout, inflammation is usually flaring in some joints while subsiding in others)
Acute fracture in patients unable to provide a history of injury
Acute infectious arthritis or chronic infectious arthritis (differentiation requires synovial fluid analysis)
Palindromic rheumatism
Acute calcific periarthritis caused by basic calcium phosphate and calcium oxalate crystal deposition disease
Palindromic rheumatism is characterized by acute, recurrent attacks of inflammation in or near one or occasionally several joints with spontaneous resolution; pain and erythema can be as severe as in gout. Attacks subside spontaneously and completely in 1 to 3 days. Such attacks may herald the onset of RA, and rheumatoid factor tests can help in differentiation; they are positive in about 50% of patients (these tests are positive in 10% of gouty patients also).
Synovial fluid analysis
If acute gouty arthritis is suspected, arthrocentesis and synovial fluid analysis should be done at the initial presentation. A typical recurrence in a patient with known gout does not mandate arthrocentesis, but it should be done if there is any question of the diagnosis or if the patient's risk factors or any clinical characteristics suggest infectious arthritis.
Synovial fluid analysis can confirm the diagnosis by identifying needle-shaped, strongly negatively birefringent urate crystals that are free in the fluid or engulfed by phagocytes. Synovial fluid during attacks has inflammatory characteristics (see Table Microscopic Examination of Crystals in Joints), usually 2,000 to 100,000 WBCs/μL, with > 80% polymorphonuclear WBCs. These findings overlap considerably with infectious arthritis, which must be excluded by Gram stain (which is insensitive) and culture.
Microscopic Examination of Crystals in Joints
Crystal Type
Length (μm)
Monosodium urate
Needle- or rod- shaped
Weak or not birefringent
Rhomboid- or rod- shaped
Calcium oxalate (rare)†
Weak or strong
Positive or indeterminate
Not birefringent with polarized light
Shiny, coinlike, or slightly irregular
3–65 (aggregates)
*Crystals that have negative elongation are yellow parallel to the axis of slow vibration marked on the compensator; positive elongation appears blue in the same direction.
†These crystals occur primarily in patients with renal failure.
Serum urate level
An elevated serum urate level supports the diagnosis of gout but is neither specific nor sensitive; at least 30% of patients have a normal serum urate level during an acute attack. However, the baseline serum urate level between attacks reflects the size of the extracellular miscible urate pool. The level should be measured on 2 or 3 occasions in patients with newly proven gout to establish a baseline; if elevated (> 7 mg/dL [> 0.41 mmol/L]), 24-h urinary urate excretion is sometimes measured. Normal 24-h excretion in people eating a regular diet is about 600 to 900 mg.
Quantification of urinary uric acid can indicate whether hyperuricemia results from impaired renal excretion (with low urinary uric acid), increased production (with high urinary excretion), or decreased GI excretion (again with high urinary excretion) and is useful to help decide whether a uricosuric drug should be used for urate-lowering therapy. Patients with elevated urine excretion of urate are at increased risk of urolithiasis and uricosuric drugs are typically avoided. However, the degree of urate excretion does not predict the patient's response to allopurinol or febuxostat, which decrease uric acid production.
X-rays of the affected joint may be taken to look for bony erosions or tophi but are probably unnecessary if the diagnosis of acute gout has been established by synovial fluid analysis. In calcium pyrophosphate arthritis, radiopaque deposits are present in fibrocartilage, hyaline articular cartilage (particularly the knee), or both.
Ultrasonography is more sensitive (although operator-dependent) and specific than plain x-rays for the diagnosis of gout. Urate deposition over the articular cartilage (double-contour sign) and clinically inapparent tophi are characteristic changes. These findings may be evident even before the first gout attack. Dual-energy scanners can also reveal uric acid deposits.
Diagnosis of chronic gouty arthritis
Chronic gouty arthritis should be suspected in patients with persistent joint disease or subcutaneous or bony tophi. Plain x-rays of the 1st metatarsophalangeal joint or other affected joint may be useful. These x-rays may show punched-out lesions of subchondral bone with overhanging bony margins, most commonly in the 1st metatarsophalangeal joint; lesions must be ≥ 5 mm in diameter to be visible on x-ray. Joint space is typically preserved until very late in the course of disease. Synovial fluid findings from chronic effusions are usually diagnostic.
Bone lesions are not specific or diagnostic but nearly always precede the appearance of subcutaneous tophi.
Diagnostic ultrasonography is increasingly used to detect a typical double-contour sign suggesting urate crystal deposition, but sensitivity is operator-dependent and differentiation from calcium pyrophosphate crystal deposits may be more difficult to do conclusively.
With early gout diagnosis, therapy enables most patients to live a normal life. For many patients with advanced disease, aggressive lowering of the serum urate level can resolve tophi and improve joint function. Gout is generally more severe in patients whose initial symptoms appear before age 30 and whose baseline serum uric acid level is > 9.0 mg/dL. The high prevalence of metabolic syndrome and cardiovascular disease probably increases mortality in patients with gout.
Some patients do not improve sufficiently with treatment. The usual reasons include nonadherence, alcoholism, and undertreatment by physicians.
Termination of an acute attack with NSAIDs, colchicine, or corticosteroids
Prevention of recurrent acute attacks with daily colchicine or an NSAID
Prevention of further deposition of MSU crystals, reduction in flare incidence, and resolution of existing tophi by lowering the serum urate level (by decreasing urate production with allopurinol or febuxostat, dissolving deposits with pegloticase, or increasing urate excretion with probenecid or lesinurad)
Treatment of coexisting hypertension, hyperlipidemia, and obesity and sometimes avoidance of excess dietary purines
(See also the American College of Rheumatology's guidelines for the management of gout [part 1 and part 2].)
Treatment of acute attacks
NSAIDs are effective in treating acute attacks and are generally well-tolerated. However, they can have adverse effects, including GI upset or bleeding, hyperkalemia, increases in creatinine, and fluid retention. Elderly and dehydrated patients are at particular risk, especially if there is a history of renal disease. Virtually any NSAID used in anti-inflammatory (high) doses is effective and is likely to exert an analgesic effect in a few hours. Treatment should be continued for several days after the pain and signs of inflammation have resolved to prevent relapse.
Oral colchicine, a traditional therapy, often produces a dramatic response if begun soon after the onset of symptoms; it is most effective if started within 12 to 24 h of an acute attack. A dose of 1.2 mg can be followed with 0.6 mg 1 h later; joint pain tends to decrease after 12 to 24 h and sometimes ceases within 3 to 7 days, but usually > 3 doses are needed to achieve resolution. If colchicine is tolerated, 0.6 to 1.2 mg once/day can be continued as the attack subsides. Renal insufficiency and drug interactions, especially with clarithromycin, may warrant reduction of dosage or use of other treatments. GI upset and diarrhea are common adverse effects.
IV colchicine is no longer available in the US because of major toxicity, usually related to inappropriate use or dosing.
Corticosteroids are used to treat acute attacks. Aspiration of affected joints, followed by instillation of corticosteroid ester crystal suspension, is very effective, particularly for monarticular symptoms; prednisolone tebutate 4 to 40 mg or prednisolone acetate 5 to 25 mg can be used, with dose depending on the size of the affected joint. Oral prednisone (about 0.5 mg/kg once/day), IM or IV corticosteroids, or single-dose ACTH 80 U IM is also very effective, particularly if multiple joints are involved. As with NSAID therapy, corticosteroids should be continued until after the attack fully resolves to prevent relapse.
If monotherapy is ineffective or doses (eg, of NSAIDs) are limited by toxicity, colchicine can be combined with NSAIDs or corticosteroids.
In addition to NSAIDs or corticosteroids, supplementary analgesics, rest, ice application, and splinting of the inflamed joint may be helpful. Because lowering the serum urate level during an attack may prolong the attack or predispose to recurrence, drugs that lower the serum urate level should not be initiated until acute symptoms have been completely controlled or until the patient can be maintained on high doses of anti-inflammatory therapy. If patients are taking urate-lowering drugs when an acute attack begins, the drugs should be continued at the same dose; dose adjustments are deferred until the attack has subsided.
If corticosteroids, colchicine, and NSAIDs are contraindicated, an IL-1 antagonist, such as anakinra, can be used. Anakinra may hasten resolution of an attack and shorten the hospital stay of a patient with multiple comorbidities that limit the use of the other drugs. Anakinra is typically given as 100 mg sc once/day until symptoms resolve.
Prevention of recurrent attacks
The frequency of acute attacks is reduced by taking one to two 0.6-mg tablets of colchicine daily (depending on tolerance and severity). An extra two 0.6-mg tablets of colchicine taken at the first suggestion of an attack may abort flares. If the patient is taking prophylactic doses of colchicine and has had higher doses of colchicine to treat an acute attack within the past 2 wk, an NSAID should be used instead to try to abort the attack.
A (reversible) neuropathy and/or myopathy can develop during chronic colchicine ingestion. This condition may occur in patients with renal insufficiency, in patients also receiving a statin or macrolide, or in patients with none of these risk factors.
Attack frequency can also be decreased with daily low-dose NSAIDs.
Lowering the serum urate level
Colchicine, NSAIDs, and corticosteroids do not retard the progressive joint damage caused by tophi. Such damage can be prevented and, if present, reversed with urate-lowering drugs. Tophaceous deposits are resorbed by lowering serum urate. Lowering serum urate may also decrease the frequency of acute arthritic attacks. This decrease is accomplished by
Hypouricemic therapy is indicated for patients with
Tophaceous deposits
Frequent or disabling attacks (eg, > 2 attacks/yr) of gouty arthritis despite prophylactic colchicine, an NSAID, or both
Multiple comorbidities (eg, peptic ulcer disease, chronic kidney disease) that are relative contraindications to the drugs used to treat acute attacks (NSAIDs or corticosteroids)
Hyperuricemia is not usually treated in the absence of gout.
The goal of hypouricemic therapy is to lower the serum urate level. If tophi are not present, a reasonable target level is < 6 mg/dL (0.36 mmol/L), which is below the level of saturation (> 7.0 mg/dL [> 0.41 mmol/L] at normal core body temperature and pH). If tophi are present, the goal is to dissolve them, and this requires a lower target level. A reasonable target level is 5 mg/dL (0.30 mmol/L), and the lower the urate level, the faster tophi resolve. These target levels should be maintained indefinitely. Low levels are often difficult to maintain.
Drugs are effective in lowering serum urate; dietary restriction of purines is less effective, but high intake of high-purine food, alcohol (beer in particular), and nonalcoholic beer should be avoided. Carbohydrate restriction and weight loss can lower serum urate in patients with insulin resistance because high insulin levels suppress urate excretion. Intake of low-fat dairy products should be encouraged. Because acute attacks tend to develop during the first months of hypouricemic therapy, such therapy should be started in conjunction with once or twice daily colchicine or NSAIDs and during a symptom-free period.
Resolution of tophi may take many months even with maintenance of serum urate at low levels. Serum urate should be measured periodically, usually monthly while determining required drug dosage and then yearly to confirm the effectiveness of therapy.
Allopurinol, which inhibits urate synthesis, is the most commonly prescribed hypouricemic therapy. Uric acid stones or gravel may dissolve during allopurinol treatment. Treatment usually begins with 100 mg po once/day and can be slowly dose escalated up to 800 mg po once/day. The dose can be split if single daily dosing causes GI distress. Some clinicians recommend decreasing the starting dose in patients with renal insufficiency (eg, 50 mg po once/day if creatinine clearance is < about 60 mL/min/1.73 m2) to decrease the incidence of rare but severe systemic hypersensitivity reactions; however, data that confirm the effectiveness of this intervention are limited. The final dose of allopurinol should be determined by the target serum urate level. The most commonly used daily dose is 300 mg, but this dose is effective in lowering serum uric acid levels to < 6.0 mg/dL in fewer than 40% of patients with gout.
Adverse effects of allopurinol include mild GI distress and rash, which can be a harbinger of Stevens-Johnson syndrome, life-threatening hepatitis, vasculitis, or leukopenia. Adverse effects are more common among patients with renal dysfunction. Some ethnic groups (eg, Koreans with renal disease, Thai, and Han Chinese) are at high risk of allopurinol reactions; HLA B*5801 is a marker for that risk in these ethnic groups. Allopurinol is contraindicated in patients taking azathioprine or mercaptopurine because it can decrease metabolism of and thus potentiate the immunosuppressive and cytolytic effects of these drugs.
Febuxostat is a far more costly (in the US) but potent inhibitor of urate synthesis. It is especially useful in patients who do not tolerate allopurinol, who have contraindications to allopurinol, or in whom allopurinol does not sufficiently decrease urate levels. It is begun at 40 mg po once/day and increased to 80 mg po once/day if urate does not decrease to < 6 mg/dL. Febuxostat (like allopurinol) is contraindicated in patients taking azathioprine or mercaptopurine because it can decrease metabolism of these drugs. Transaminase levels can become elevated and should be measured periodically.
Pegloticase is a pegylated form of recombinant uricase. Uricase is an enzyme that converts urate to allantoin, which is more soluble. Pegloticase is very expensive and is used primarily in patients with chronic gout in whom other treatments have been unsuccessful. It is given IV every 2 to 3 wk for many months to several years to totally deplete the excess urate deposits; it often lowers the serum urate level to < 1 mg/dL. Pegloticase is contraindicated in patients with G6PD deficiency because it can cause hemolysis and methemoglobinemia. Failure of urate levels to decrease to < 6 mg/dL after a pegloticase infusion predicts the presence of pegloticase antibodies and an increased risk of future allergic reactions; regular infusions are then stopped. To prevent other urate-lowering drugs from masking the ineffectiveness of pegloticase, other urate-lowering drugs should not be used with pegloticase.
Uricosuric therapy is useful in patients who underexcrete uric acid, have normal renal function, and have not had renal stones. Probenecid and lesinurad are uricosuric drugs.
Probenecid can be used as monotherapy if both allopurinol and febuxostat are contraindicated or not tolerated. Probenecid loses efficacy with declining renal function and is generally not useful with a glomerular filtration rate < 50 mL/min/1.73 m2. Probenecid treatment begins with 250 mg po bid, with doses increased as needed, to a maximum of 1 g po tid.
Lesinurad is the other uricosuric drug available for the treatment of gout in the US. It is used only in combination with allopurinol or febuxostat in patients in whom the serum uric acid level remains ≥ 6.0 mg/dL despite treatment with allopurinol or febuxostat alone. Lesinurad treatment is 200 mg po once/day.
The antihypertensive drug losartan and the triglyceride-lowering drug fenofibrate both have uricosuric effects and can be used to decrease uric acid in patients who have other reasons for taking these drugs. Low doses of salicylates may worsen hyperuricemia but only trivially.
Other treatments
Fluid intake ≥ 3 L/day is desirable for all patients, especially those who chronically pass urate gravel or stones.
Alkalinization of urine (with potassium citrate 20 to 40 mEq po bid or acetazolamide 500 mg po at bedtime) is also occasionally effective for patients with persistent uric acid urolithiasis despite hypouricemic therapy and adequate hydration. However, excessive urine alkalinization may cause deposition of calcium phosphate and oxalate crystals.
Extracorporeal shock wave lithotripsy may be needed to disintegrate renal stones.
Large tophi in areas with healthy skin may be removed surgically; all others should slowly resolve under adequate hypouricemic therapy.
Key Points
Although increased purine intake and increased production can contribute to hyperuricemia, the most common cause of gout is decreased urate excretion secondary to diuretics, kidney disorders, or hereditary variations.
Suspect gout in patients with sudden, unexplained acute monoarticular or oligoarticular arthritis, particularly if the great toe is affected or there is a prior history of sudden, unexplained acute arthritis with spontaneous remission.
Confirm the diagnosis by finding needle-shaped, strongly negatively birefringent urate crystals in joint fluid.
Treat acute attacks of gout with oral colchicine, an NSAID, a corticosteroid, or a combination of colchicine with an NSAID or a corticosteroid.
Decrease the risk of future attacks by prescribing colchicine, an NSAID, or, when indicated, drugs to decrease the serum urate level.
Give drugs that decrease serum urate if patients have tophi, > 2 flares of gout per year, urolithiasis, or multiple comorbidities that contraindicate the drugs used to relieve acute attacks.
Decrease urate levels usually by prescribing allopurinol or febuxostat alone or in combination with a uricosuric drug.
Asymptomatic Hyperuricemia
Asymptomatic hyperuricemia is elevation of serum urate > 7 mg/dL (> 0.42 mmol/L) in the absence of clinical gout.
Generally, treatment of asymptomatic hyperuricemia is not required. However, patients with overexcretion of urate who are at risk of urolithiasis may receive allopurinol.
Accumulating data suggest that hyperuricemia may contribute to the progression of chronic kidney disease, cardiovascular disease, and, in adolescents, primary hypertension.


text:
Vintage Engine Parts - Yesterday's Hi-Tech Today - Tech
Egge Obsolete Engine Parts has what you need in Vintage Engines
Where do you go to get parts today for anything that's 25 years old or more? I know 25 years doesn't sound like it was too long ago, but tell that to the kid at the parts store counter who hasn't had that many candles on his birthday cake when he says, "It's not in the computer," or the famous, "Year, make, and model again, please." Even I have fond memories of being able to march into the Ace Auto Parts where I grew up to ask for a set of head gaskets for a '56 Cadillac 365 motor I was putting in my '50 Ford, or wandering back into the "dungeon" of the same store that held all the really old stuff that fell off the books that dated from 20 years ago and finding an N.O.S. '32-36 Ford V-8 in-head water pump. Sadly, most of these gems that were institutions for many are gone or have been bought out and "updated" while all the old "junk" was thrown out, but there is one place that's doing a good job of keeping all those "outdated" parts in stock.
Even though Egge Obsolete Engine Parts has a computer, you won't get the same response you'll get from the pimply faced kid at the big chain stores. Egge has been around for nine solid decades and knows vintage parts. E.N. Egge opened a machine shop in Plainview, Texas, in 1915 when there was no aftermarket, so things, especially pistons, were made when they couldn't get them, which led to more and more in-house manufacturing. In the '20s he moved the shop to the budding city of Los Angeles and kept building the reputation of where to get hard-to-find parts that continues today.
Some 30 years ago, Egge moved to its present location in Santa Fe Springs, California, just outside of L.A. at 11707 Slauson Ave., where they make most of the new parts they sell to complement their huge selection of N.O.S. engine parts that came from years of buying unwanted inventories and going out of business sales. Now under third-generation Egge care, the business is thriving, plus there has been a resurgence of vintage powerplants in hot rods in recent years that has trickled into the custom car and truck world and helped them keep their catalog full, as well as adding "new" products from brands like Offenhauser, Thickstun, Tattersfield, Baron, SCAT, Sharp, Fenton, Wayne, Pertronix, Isky, Trans-Dapt, and more. In addition to selling parts, Egge also specializes in Babbitt work and offers align bore services, cam and lifter regrinding, lifter resurfacing, water pump remanufacturing, and technical data/engine identification help. Check out the Ask Bob section on their Web site. During the summer, Egge's showroom is open Saturday from 8 a.m. to 1 p.m. in addition to their regular M-F hours. Get those solid lifters moving and log onto www.egge.com or call 866-996-EGGE for the latest in vintage parts!


text:
MADRID (AP) — Spain's data protection agency says it has fined search engine giant Google 900,000 euros ($1.2 million) for three serious breaches of the country's laws.
The agency says in a statement that it was imposing a fine of 300,000 euros for each breach, and requesting that Google comply with the law without delay.
Thursday's statement says Google collects and processes personal information illegally, that it combines personal information for purposes that are "not determined clearly" and that personal data is stored and maintained "for indeterminate periods of time."
Data watchdogs in France, Britain, Germany, Italy, Netherlands and Spain have said Google needs to provide additional guarantees to comply with national privacy protection rules in each of those countries.
Marisa Toro, Google's spokesperson in Spain, said the company was studying the statement.